CANDIE M RICHARDSON (MD) – Specialist, NPI 1467442111

CANDIE M RICHARDSON (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.084133 (OH). The NPI Number for CANDIE M RICHARDSON (MD) is 1467442111

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CANDIE M RICHARDSON (MD)
NPI
1467442111
Phone
(423) 697-0014
Address
2525 deSales Avenue
Enumeration Date
25 October 2005
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4232429750
Graduation Year
2002 (24 years ago)
PAC ID
5294711321
Group Practice PAC ID
3173989837
Professional Enrollment ID
I20101029001077
Address ID
TN374211405CH7402XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,131 EMERGENCY MEDICINE in TN

Provider Addresses for CANDIE M RICHARDSON (MD)

  • 2525 deSales Avenue

    Chattanooga, TN 37404

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 725, Glenwood Drive, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    SUITE E-487

    CHATTANOOGA, TN 37404

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Mailing

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Type: Location

  • CHI Memorial Hospital, 2525, Desales Avenue, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 37404

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Location

  • 3535 SOUTHERN BLVD

    KETTERING, OH 454291221

    Phone: (937) 395-8166

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040628001570IEmergency MedicineOHTBD
I20101029001077IEmergency MedicineTNTBD
I20210326000203IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making121117$0
99284Emergency department visit with moderate level of medical decision making9292$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 37404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173989837View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineMI
Nurse PractitionerTN
Emergency MedicinePA
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Hospitalist, Emergency MedicineVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for CANDIE M RICHARDSON (MD)?
CANDIE M RICHARDSON (MD) — NPI 1467442111 — is the standard way to identify this listing.
Is CANDIE M RICHARDSON (MD) still practicing?
CANDIE M RICHARDSON (MD) is currently listed as active in the public NPI registry.
What healthcare role does CANDIE M RICHARDSON (MD) hold?
Scheduling teams often label CANDIE M RICHARDSON (MD) under Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is CANDIE M RICHARDSON (MD) based?
CANDIE M RICHARDSON (MD) is tied to Chattanooga, Tennessee in the data we show; additional addresses may exist on the full record.
Why does CANDIE M RICHARDSON (MD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.